Yolanda,
This is definitely dermatitis / eczema.
When you see a definite rash with a clear edge to it, red, weepy, peeling, 
etc - it is not thrush. Nipple thrush is more pink, shiny, no definite edge, 
not weepy.
I would even suggest that anyone who is not familiar with dermatitis/ eczema 
go to the website and look at these impressive photos.

<Baby then got thrush in his mouth (no nappy rash) and mom's nipples became
sore. .....
The mother has also just been given a Cortisone cream to apply.>

There may have been thrush initially; perhaps she has developed an irritant 
dermatitis to the antifungal cream. Does she have a history of eczema, 
dermatitis, asthma or hay fever (or family history)?
I would use a strong steroid ointment (as opposed to the weak steroid cream 
she has been given). It is usually resolved within one week and then she 
should stop the ointment.

There is a new ref on nipple eczema:
      J Cutan Med Surg. 2004 Mar-Apr;8(2):126-30. Epub 2004 May 3.

Nipple and areolar eczema in the breastfeeding woman.
Barankin B, Gross MS.

or see my old case study in JHL 1993; 9(3):173-5.
Lisa Amir
MBBS, MMed, IBCLC in Melbourne, Australia

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